Individual
BURTON ALAN SEGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
110 KINGSLEY LN, SUITE 401, NORFOLK, VA 23505-4614
(757) 489-4700
(757) 489-0240
Mailing address
110 KINGSLEY LN, SUITE 401, NORFOLK, VA 23505-4614
(757) 489-4700
(757) 489-0240
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000791
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901015
—
VA
Enumeration date
02/13/2006
Last updated
09/03/2010
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